NPI | 1619520483 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 91351) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC LL83014) |
Enumeration Date | 2019-07-22 |
Last Update Date | 2024-09-13 |